Provider Demographics
NPI:1437309010
Name:LIVINGSKIN LLC
Entity Type:Organization
Organization Name:LIVINGSKIN LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:STUART
Authorized Official - Middle Name:
Authorized Official - Last Name:MEAD
Authorized Official - Suffix:
Authorized Official - Credentials:CEO
Authorized Official - Phone:845-343-4668
Mailing Address - Street 1:60 DUNNING RD
Mailing Address - Street 2:LOWER LEVEL
Mailing Address - City:MIDDLETOWN
Mailing Address - State:NY
Mailing Address - Zip Code:10940-2215
Mailing Address - Country:US
Mailing Address - Phone:845-343-4668
Mailing Address - Fax:845-956-6829
Practice Address - Street 1:60 DUNNING RD
Practice Address - Street 2:LOWER LEVEL
Practice Address - City:MIDDLETOWN
Practice Address - State:NY
Practice Address - Zip Code:10940-2215
Practice Address - Country:US
Practice Address - Phone:845-343-4668
Practice Address - Fax:845-956-6829
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-19
Last Update Date:2008-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier